Individual
JOHN ANDREW HEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1210 NW 16TH ST, FRUITLAND, ID 83619-2202
(208) 452-8700
Mailing address
1210 NW 16TH ST, FRUITLAND, ID 83619-2202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2026
ID
Other
Enumeration date
02/19/2021
Last updated
08/28/2023
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